Journal of Medical Imaging and Radiation Sciences最新文献

{"title":"Exploring communication gaps and parental needs during paediatric CT scan risk-benefit dialogue in resource-constrained facilities","authors":"Abel Karera,&nbsp;Penehupifo N. Neliwa,&nbsp;Mondjila Amkongo,&nbsp;Luzanne Kalondo","doi":"10.1016/j.jmir.2024.101816","DOIUrl":"10.1016/j.jmir.2024.101816","url":null,"abstract":"<div><h3>Background</h3><div>Clear communication during informed consent is crucial in paediatric computed tomography (CT) procedures, particularly in resource-constrained settings. CT offers valuable diagnostic information but carries potential radiation risks, especially for paediatric patients. Parents play a critical role in decision-making, necessitating thorough risk-benefit discussions. This study aimed to explore parental experiences regarding risk-benefit communication during their children's CT scans in under-resourced healthcare facilities.</div></div><div><h3>Methods</h3><div>A qualitative approach with a descriptive design was employed. Semi-structured interviews were conducted with 13 purposefully selected and consenting parents accompanying paediatric patients for CT scans at two public hospitals. Data were analysed using Tesch's eight-step method and ATLAS.ti software.</div></div><div><h3>Results</h3><div>Participants were parents of children aged 0–10 years (8 males, 5 females), with 11 making their first visit to the CT department. Three main themes emerged: (1) Compromised consenting process, characterised by inadequate explanation of consent and limited risk-benefit communication; (2) Procedural information deficiency, including minimal communication about the procedure and lack of information on examination results; and (3) Preference for improved communication, with parents expressing a desire for comprehensive information and varied opinions on who should disseminate this information. Parents reported feeling uninformed, anxious, and unable to make well-informed decisions due to communication gaps.</div></div><div><h3>Conclusions</h3><div>Significant improvements are needed in risk-benefit communication during paediatric CT scans. Healthcare providers should use simplified language, visual aids, and patient-centred discussions to enhance understanding and reduce parental anxiety. Radiographers should allocate sufficient time for discussions, involve referring physicians when necessary, and document the informed consent process thoroughly. Addressing these issues can improve patient experiences and contribute to positive health outcomes in resource-constrained settings.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 2","pages":"Article 101816"},"PeriodicalIF":1.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How does intelligent noise reduction software influence the image quality in pelvic digital radiography; a phantom study","authors":"E.D. Hussner ,&nbsp;S. Sundby ,&nbsp;C.B. Outzen ,&nbsp;J. Jensen ,&nbsp;A. Tingberg ,&nbsp;H. Precht","doi":"10.1016/j.jmir.2024.101814","DOIUrl":"10.1016/j.jmir.2024.101814","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aims to evaluate the effects of a novel noise reduction software (INR, Canon Europe, Amsterdam, NL) on image quality (IQ) in Digital Radiography (DR) pelvic phantom images.</div></div><div><h3>Methods</h3><div>In total, 53 pelvic phantom images and 360 technical images of a Contrast Detail Radiography phantom (CDRAD) were collected, including 8 different exposure levels (between 0.8 and 40 mAs at 70 kV) and 6 intensities of INR (ranging from settings 0–10). The pelvic images were evaluated by three reporting radiographers using absolute Visual Grading Analysis (VGA). The CDRAD images were analyzed with a CDRAD computer software.</div></div><div><h3>Results</h3><div>The VGA showed that the images with the INR software had higher IQ than the images with no INR. The observers gave a high VGA score to the images with INR of 3.2 mAs and higher. There was a tendency for an INR level of 5 or 7 to give the highest VGA scores. In addition, the CDRAD study showed a significant improvement in IQ with increasing INR levels at the lower exposure levels.</div></div><div><h3>Conclusion</h3><div>An improvement in overall IQ was seen at lower exposure levels when the INR software was used both for the VGA and the CDRAD study. Clinical tests including patient images need to be performed before implementing INR in practice to verify accurate diagnostic performance.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 2","pages":"Article 101814"},"PeriodicalIF":1.3,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time constraints and workload in the computed tomography department","authors":"Nisanthi Yoganathan ,&nbsp;Cláudia Sá dos Reis ,&nbsp;Florentino Serranheira","doi":"10.1016/j.jmir.2024.101799","DOIUrl":"10.1016/j.jmir.2024.101799","url":null,"abstract":"<div><h3>Introduction</h3><div>The escalating use of Computed Tomography (CT) has promoted higher radiographer workload, which can contribute to an increase of risks such as stress, job dissatisfaction, and potential health and safety issues. This study aimed to assess the impact of organizational, spatial, and temporal factors on procedures and workload in a CT unit, emphasizing patient safety and radiographer well-being. Addressing time pressure and optimizing workplace ergonomics are crucial in maintaining a balance between efficiency and quality, ensuring safe practices in modern medical imaging units.</div></div><div><h3>Methods</h3><div>The study was conducted in a Swiss university hospital CT unit and employed the Systems Engineering Initiative for Patient Safety (SEIPS) model to analyse the radiographers' workflow and time constrains. Observations and tasks’ analysis were used to collect data, including timing and location of tasks performed by radiographers.</div></div><div><h3>Results</h3><div>The radiographers’ workflow in the CT department is complex, involving multiple tasks. The entire process spans from 26 to 41 min but the Machine-Time (time spent inside the CT room) ranged from 10 to 16 min. The study identified inefficiencies in the workflow, namely in time spent on patient preparation and unsuited machine-time rate. The layout of the department, including limited space in the preparation area, contributing to ergonomic challenges for radiographers. Organizational factors, such as scheduling practices, also impacted workflow. The examination durations varied by type of scan and patient, leading to time pressure and potential safety concerns.</div></div><div><h3>Conclusions</h3><div>The study highlighted the need for more realistic time allocation in CT examinations to improve patient and radiographer safety. Recommendations include extending machine-time rate, adapting examination durations based on the type of CT, and assigning a dedicated radiographer for order review. It is also crucial improving the working environment to accommodate ergonomic needs. Addressing these issues can enhance the efficiency and safety of CT departments, benefiting both patients and radiographers.</div></div><div><h3>Implications for Practice</h3><div>Healthcare organizations should consider these study recommendations to improve the efficiency and safety of CT departments. By implementing the recommended changes, such as adjusting CT-time rate and optimizing working environments, radiographer satisfaction and patient safety can be increased, ultimately leading to safer and more effective CT services.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 2","pages":"Article 101799"},"PeriodicalIF":1.3,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Future workforce in Radiography with patient perspectives: Message from the Guest Editor","authors":"Helle Precht","doi":"10.1016/j.jmir.2024.101803","DOIUrl":"10.1016/j.jmir.2024.101803","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 4","pages":"Article 101803"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Message from the Editor","authors":"Amanda Bolderston EdD, MSc, MRT(T), FCAMRT","doi":"10.1016/j.jmir.2024.101801","DOIUrl":"10.1016/j.jmir.2024.101801","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 4","pages":"Article 101801"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subscription","authors":"","doi":"10.1016/S1939-8654(24)00538-1","DOIUrl":"10.1016/S1939-8654(24)00538-1","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 4","pages":"Article 101807"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Board/Masthead","authors":"","doi":"10.1016/S1939-8654(24)00537-X","DOIUrl":"10.1016/S1939-8654(24)00537-X","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 4","pages":"Article 101806"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Message de la rédactrice en chef","authors":"Amanda Bolderston EdD, MSc, MRT(T), FACTRM","doi":"10.1016/j.jmir.2024.101800","DOIUrl":"10.1016/j.jmir.2024.101800","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 4","pages":"Article 101800"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Future workforce in Radiography with patient perspectives: Message from the Guest Editor","authors":"Brian Liszewski BSc MRT(T)","doi":"10.1016/j.jmir.2024.101802","DOIUrl":"10.1016/j.jmir.2024.101802","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 4","pages":"Article 101802"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring diagnostic radiography students’ experiences of transitioning from online to face-to-face teaching and learning, Johannesburg, South Africa","authors":"L. Gumede,&nbsp;L. Hazell,&nbsp;S. Lewis","doi":"10.1016/j.jmir.2024.101795","DOIUrl":"10.1016/j.jmir.2024.101795","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic necessitated educational institutions adopting online learning as a measure to limit the spread of the virus. When restrictions were eased, teaching and learning at higher education institutions returned to face-to-face teaching and learning. Although there have been studies on the experiences of diagnostic radiography students with online teaching and learning, there is a lack of research on students' experiences when transitioning back to face-to-face teaching and learning. Therefore, this study explored diagnostic radiography students' experiences in transitioning from online to face-to-face teaching and learning.</div></div><div><h3>Methods</h3><div>A qualitative explorative and descriptive research design was conducted in two phases. Phase one used an open-ended online questionnaire with a single central question. In phase two, the responses from phase one were explored through in-depth interviews with diagnostic radiography students at a higher education institution. The results from phases one and two were analysed to generate themes.</div></div><div><h3>Results</h3><div>Two themes were generated: 1. varying experiences and 2. online and face-to-face teaching and learning engagement. Change and preferences were categorised under theme one, the flexibility of online learning, face-to-face learning interaction, and active and responsible learning development under theme two.</div></div><div><h3>Conclusion</h3><div>Diagnostic radiography students experienced the change to face-to-face learning from online learning as challenging but were able to adapt. They preferred the flexibility of online teaching and learning and the enhanced engagement of face-to-face teaching and learning. Therefore, blended learning should be considered for radiography education in the future. They appreciated the skills they developed during online learning and incorporated these skills into their face-to-face learning.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 1","pages":"Article 101795"},"PeriodicalIF":1.3,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}